Transcription

PROVIDER DIRECTORYPRO-DIR-HA01 7/21/21

Aspirus Arise NetworkSmall and Large GroupA high-quality, cost-effective, and local networkAspirus Network, Inc. (ANI) is organized as a Clinically Integrated Network in north-central Wisconsin and the UpperPeninsula of Michigan. ANI represents the full continuum of health care services, including more than 400 physicians andspecialists. It is composed of Aspirus-employed physicians and independent physicians, eight hospitals, nine ambulatorysurgery centers, and other allied health care professionals and facilities.The Aspirus Network also offers: More than 48 specialties Comprehensive network of outpatient centers and physician clinics Home health care and hospice services Ambulatory surgery services Clinics throughout Wisconsin and Michigan, such as Rhinelander, Stevens Point, and WoodruffAspirus Hospitals in Wisconsin» Aspirus Medford Hospital» Aspirus Wausau Hospital» Aspirus Langlade Hospital (Antigo)» Aspirus Riverview Hospital(Wisconsin Rapids)Aspirus Hospitals in Michigan’sUpper Peninsula» Aspirus Ironwood Hospital» Aspirus Keweenaw Hospital (Laurium)» Aspirus Ontonagon Hospital» Aspirus Iron River Hospital*Aspirus Arise offers plans and products toindividuals and businesses who reside in thefollowing 16 Wisconsin counties: Adams Oneida Clark Portage Florence Price Forest Shawano(ZIP codesbeginning with 544) Iron Juneau Langlade Lincoln MarathonNote: Aspirus Arise Health Plan of Wisconsin, Inc. markets products toindividuals who reside and businesses domiciled in the green countiesand in Shawano County in ZIP code areas beginning with 544 only.Providers are subject to change. Please visit our online Find a Doctor tool to findcurrent information and to confirm that specific providers are in network. If you wouldlike to select an Aspirus primary care practitioner, please call 800-847-4707. Taylor Vilas Wood

FIRST HEALTHWRAP NETWORKComprehensive access to health care providers nationwideGroup members covered under a Small or Large GroupRisk or Self-Funded Aspirus Arise healthplan can enjoy access to in-network benefitswhen they visit First Health providers in 49states outside Wisconsin, as well as PuertoRico. First Health features more than 5,000hospitals, 90,000 ancillary facilities, and1 million health care service locations. FirstHealth functions as a wrap network foremployees whose children attend schooloutside Wisconsin, as well as employees andtheir families who travel outside Wisconsin.Employees living outside Wisconsin can alsoaccess the First Health Network as theirprimary network.First Health Wrap availabilityIncludes all 49 states outside Wisconsin.First Health Wrap providersVisit AspirusArise.com, click on Find a Doctor in the upper right corner, enteryour Group Number, and click Go.VisitorsIf you are visiting our website, go to AspirusArise.com, click on Find a Doctorin the upper right corner, and if you agree, click the I Agree button. You’ll betaken to a search page where you can search for a health care provider.The First Health Wrap coversall 49 states outside Wisconsin.If you choose to receive care froma non-participating provider, youwill incur higher out-of-pocket costs.For example, all Mayo Clinic locationsin Wisconsin and throughout thecountry are non-participatingproviders. Please confirm with usyour provider's participation in FirstHealth before you receive services.For more information,visit AspirusArise.com and clickon the Find a Doctor tool. 2018 Aspirus Arise Health Plan of Wisconsin, Inc. All rights reserved. JO999231588-080-1809

Table of ContentsProvider Educational Degrees . 5Facilities . 7Primary Care Physicians . 15Specialty Care Providers . 353Services and Supplies . 1122Alphabetical Index . 1136iTable of ContentsGlossary of Abbreviated Directory Terms . 3

GLOSSARY OF ABBREVIATED DIRECTORY TERMSAccreditation Association for Ambulatory Health Care (AAAHC):The Accreditation Association for Ambulatory Health Care, also known as the Accreditation Association orAAAHC, was formed in 1979 to assist ambulatory health care organizations improve the quality of care provided topatients. The AAAHC is the leader in ambulatory health care accreditation.Accreditation Commission for Health Care (ADHC):The Accreditation Commission for Health Care, Inc. (ACHC) is one of the few standard-setting accrediting bodiesfor home care and alternate site organizations in the country. Their accrediting programs were developed byproviders for providers to reflect criteria conducive to providing quality care. ACHC is a not-for-profit organizationthat has been a symbol of quality since 1986.American Board (AB):Established in 1933, the American Board of Medical Specialties (ABMS), a not-for-profit organization comprising24 medical specialty Member Boards, is the pre-eminent entity overseeing the certification of physician specialistsin the United States. The primary function of ABMS is to assist its Member Boards in developing and implementingeducational and professional standards to evaluate and certify physician specialists. By participating in theseinitiatives, ABMS also serves as a unique and highly influential voice in the healthcare industry, bringing focus andrigor to issues involving specialization and certification in medicine. ABMS is a designated primary equivalentsource of credential information.American Board Internal Medicine (ABIM):The American Board of Medical Specialties (ABMS) has a maintenance-of-certification program, which setsstandards and certifies physicians who practice internal medicine and its subspecialties, such as cardiology,endocrinology and geriatrics.American Board of Family Medicine (ABFM):The American Board of Family Medicine (ABFM) is the second largest medical specialty board in the UnitedStates. Founded in 1969, it is a voluntary, not-for-profit, private organization whose purposes include: Improve the quality of medical care available to the publicEstablish and maintain standards of excellence in the specialty of Family MedicineImprove the standards of medical education for training in Family MedicineDetermine by evaluation the fitness of specialists in Family Medicine who apply for and holdcertificatesAmerican Osteopathic Board (AOB):The Bureau of Osteopathic Specialists of the American Osteopathic Association (AOA) is made up of eighteendifferent specialty boards who implement the below certification criteria: Define the qualifications required of osteopathic physicians for certification in the specialty or field ofpractice that may be assigned to the Board.Determine the qualifications of osteopathic physicians for certification in specialty or field of practice thatmay be assigned to it.Conduct examinations in conformity with the Bylaws of this Board.Issue certificates subject to the approval of the Bureau of Osteopathic Specialists of the AOA, to thoseosteopathic physicians who are found qualified.Recommend revocation of certificates for cause.Use every means possible to maintain a high standard of practice within the osteopathic profession.Page 3

American Osteopathic Board of Orthopedic Surgery (AOBOS):The American Osteopathic Board of Orthopedic Surgery was established in 1979 and exists primarily for thepurpose of assisting newly trained orthopedic surgeons in the certification process. The purpose of certificationexamination is to provide the public with a dependable mechanism to identify physicians who have met a standardto assure competent performance in the field of orthopedic surgery.Bureau of Quality Assurance, WI DHFS (BQA):The Division of Quality Assurance (DQA) is responsible for assuring the safety, welfare and health of personsusing health and community care provider services in Wisconsin. The WI Department of Health & Family Serviceslicenses, certifies, registers and regulates 45 types of health and community care entities.Community Health Accreditation Program (CHAP)Community Health Accreditation Program is an independent and non-profit accrediting body created in 1965.CHAP's goal is for home care to not only prosper, but gain strength in the overall health care industry. CHAP isdevoted to providing consultation of the highest caliber, along with a broad network of professional staff resources.Center for Medicare/Medicaid Services (CMS):The Centers for Medicare and Medicaid Services (CMS), formerly the Health Care Financing Administration(HCFA), administers Medicare, Medicaid, related quality assurance programs, and other programs.Commission for Accreditation of Rehab Facilities (CARF):CARF has been a leading, independent, nonprofit accrediting body of human services since 1966. CARFdeveloped standards that are focused on outcomes and the satisfaction of the people served.Council on Accreditation (COA):COA is an international, independent, not-for-profit, child- and family-service and behavioral healthcare accreditingorganization. It was founded in 1977 by the Child Welfare League of America and Family Service America (nowthe Alliance for Children and Families). Originally known as an accrediting body for family and children's agencies,COA currently accredits 38 different service areas and over 60 types of programs.Site Visit (AHP):Arise Health Plan will conduct facility site reviews to evaluate the physical accessibility, physical appearance,adequacy of waiting and examining room space, availability of appointments, adequacy of medical/treatmentrecord keeping, safety sanitary practices, confidentiality safeguards, and HIPAA compliance of the clinical facilitieswhere care is provided by Arise Health Plan in accordance with regulatory and accreditation agencies.The Joint Commission (JC):The Joint Commission evaluates and accredits nearly 15,000 health care organizations and programs in the UnitedStates. An independent, not-for-profit organization, The Joint Commission is the nation’s predominant standardssetting and accrediting body in health care.Aspirus Arise does not use quality measures, memberexperience measures or cost-related measures to selectpractitioners and hospitals.Page 4

Provider Educational DegreesTitle & DescriptionCHT Certified Hand TherapistCICSW Certified Independent ClinicalSocial WorkerCMFT Certified Marriage & FamilyTherapyCNM Certified Nurse MidwifeCNS Certified Nutrition SpecialistCO Certified OrthotistCOTA Certified Occupational TherapyAssistantCPC Certified Professional CounselorCPT Certified Physical TherapistCNS Clinical Nurse SpecialistCP Certified ProsthetistCPO Certified Prosthetist & OthotistCRNA Certified Registered NurseAnesthetistCSAC Clinical Substance AbuseCounselorCSCS Certified Strength & ConditioningSpecialistCST Certified Surgical TechnicianCSW Clinical Social WorkerCTRS Certified Therapeutic RecreationSpecialistCTS Certified Trauma SpecialistAUD D Doctor of AudiologyDACNB Diplomat AmericanChiropractic Neurology BoardDC Doctor of ChiropracticDCSW Diplomat in Clinical SocialWorkDDS Doctor of Dental SurgeryDMD Doctor of Dental MedicineDO Doctor of OsteopathyEdD Doctor of EducationOD Doctor of OptometryPhD Doctor of PhilosophyDPM Doctor of Podiatric MedicineDPT Doctorate Physical TherapyFACEP Fellow of the American Collegeof Emergency PhysiciansFNP Family Nurse PractitionerFNPC Family Nurse Practioner CertifiedICADC Independent Certified AlcoholDrug CounselorACNP Acute Care Nurse PractionerACSW Academy of Certified SocialWorkerANP Adult Nurse PractionerANPC Adult Nurse Practioner CertifiedAPN Advanced Practice NurseAPNP Advanced Practice NursePractitionerAPSW Advanced Practice SocialWorkerATC Athletic Trainer CertifiedATR Art Therapist RegisteredATR-BC Art Therapist Board CertifiedBA Bachelor of ArtsBS Bachelor of ScienceBSN Bachelor of Science in NursingBSW Bachelor of Social WorkCADC Certified Alcohol & DrugCounselorCADC II Certified Alcohol & DrugCounselor - IICAPSW Certified Advanced PracticeSocial WorkerCCC Certificate of Clinical CompetencyCCC-A Certificate of ClinicalCompetence in AudiologyCCC-SLP Certificate of ClinicalCompetence in Speech TherapyCADC III Certified Alcohol & DrugCounselor - IIICADC-D Certified Alcohol & DrugDisorder CounselorCCMHC Certified Clinical MentalHealth CounselorCCN Certified Clinical NutritionistCCS Certified Clinical SupervisorCCS II Certified Clinical Supervisor Level IICCS-G Certified Counselor Supervisor Grand PersonCDE Certified Diabetes EducatorCEAP Certified Employee AssistantProfessionalCFNP Certified Family NursePractitionerCFA Certified First AssistantPage 5

Provider Educational DegreesTitle & DescriptionRDCDE Registered Dietician CertifiedDiabetic EducatorRN Registered NurseRNCDE Registered Nurse CertifiedDiabetic EducatorRNCNS Registered Nurse ClinicalNurse SpecialistRPT Registered Physical TherapistRTO Registered Technician OrthoticsSLP Speech Language PathologistSA Surgical AssistantSAC Substance Abuse CounselorSACT Substance Abuse Counselor inTrainingSLPT Speech Language PhysicalTherapistST Speech TherapistST Surgical TechnologistWHNP Women's Health NursePractionerICS Independent Clinic SupervisorICSW Independent Clinical SocialWorkerLMFT License Marriage and FamilyTherapistPSYD Doctor of PsychologyLAT Licensed Athletic TrainerLCSW Licensed Clinical Social WorkerLICSW Licensed Independent ClinicalSocial WorkerLP Licensed PsychologistLPC Licensed Professional CounselorLPCT Licensed Professional Counselor TrainingLPN Licensed Practical NurseLSW Licensed Social WorkerMASS Massage Therapist / BodyworkerMTC Massage Therapy CertificateMEd Master of EducationMPS Master of Pastoral StudiesMPT Master of Physical TherapyMS Master of ScienceMSA Master of Science - AudiologyMSE Master of Science & EducationMSMFT Master of Science in Maritaland Family TherapyMSN Master of Science in NursingMSSW Master of Science & SocialWorkMSW Master of Social WorkMA Masters of ArtsMA Medical AssistantMBA Masters of BusinessMD Medical DoctorMHNP Mental Health Nurse PractionerMT Medical TechnologistNA Nurse AideNCC National Certified CounselorNP Nurse PractitionerOT Occupational TherapyRADCI Registered Alcohol & DrugCounselor - IRCS Registered Cardiac SonographerRD Registered DietitianPage 6

FacilitiesPrior authorization is required for all inpatient hospital or birthing center stays. Hospital accreditations arevalidated every 3 years by Aspirus Arise Health Plan.AMBULATORYSURGERY CENTERENCIRCLE HEALTHMADISON WIAURORA SURGERY CENTERS LLCMADISON SURGERY CENTER INCAccreditation:Location: W180N11070 RIVER LNGERMANTOWN, WI, 53022Phone: 262-532-9777Accreditation:GREEN BAY WILocation: 2500 E CAPITOL DRAPPLETON, WI, 54911Phone: 920-830-5900PINNACLE CATARACT & LASERINSTAccreditation:Location: 4648 W SPENCER STAPPLETON, WI, 54914GREEN BAY SURGICAL CENTERAccreditation:Location: 704 S WEBSTER AVEGREEN BAY, WI, 54301Accreditation:Location: 1 S PARK STMADISON, WI, 53715Phone: 608-287-2200MARINETTE WIAURORA HEALTH CENTERAccreditation:Location: 4061 OLD PESHTIGO RDMARINETTE, WI, 54143Phone: 920-432-7433Phone: 715-732-8000Phone:ORTHOPEDIC SURGERY CENTEROF GREEN BAYBELLIN HEALTH MARINETTESURGERY CENTERTHEDACARE ORTHO PLUS GROTHSURLocation: 2223 LIME KILN RD STE 1Location: 2820 ROOSEVELT RDPhone: 920-569-4300Location: 2223 LIME KILN RD STE 2Phone: 715-735-5272Accreditation:Location: 1818 N MEADE STAPPLETON, WI, 54911Phone: 920-831-5050BURLINGTON WIAURORA HEALTH CENTERAccreditation:Location: 709 SPRING VALLEY RDBURLINGTON, WI, 53105Accreditation:GREEN BAY, WI, 54311GREEN BAY, WI, 54311Phone: 920-569-4300TOWER CLOCK SURGERYCENTER LLCAccreditation:Location: 1077 W MASON STGREEN BAY, WI, 54303Phone: 920-497-1810Phone: 262-971-9400FOND DU LAC WIAURORA HEALTH CENTERAccreditation:Location: 210 WISCONSIN AMERICANDRFOND DU LAC, WI, 54937Phone: 920-907-7000FRANKLIN WISURGERY CENTER LLCAccreditation:Location: 3111 W RAWSON AVEFRANKLIN, WI, 53132GREENFIELD WIAURORA SURGERY CENTERS LLCAccreditation:Location: 9000 W SURA LNGREENFIELD, WI, 53228Phone:Accreditation:MARINETTE, WI, 54143MEQUON WIEAST MEQUON SURGERYCENTERAccreditation:Location: 12203 CORPORATE PKWYMEQUON, WI, 53092Phone: 262-532-7090MIDDLETON WITRANSFORMATION SURGERYCENTERAccreditation:Location: 2349 DEMING WAYMIDDLETON, WI, 53562Phone: 608-836-9990KAUKAUNA WIBAYCARE AURORA KAUKAUNASURGERY CENTER LLCAccreditation:Location: 1500 ARBOR WAYKAUKAUNA, WI, 54130Phone: 920-766-3200MILWAUKEE WIMNA SURGERY CENTERAccreditation:Location: 7797 W APPLETON AVEMILWAUKEE, WI, 53222Phone: 414-393-9810Phone: 414-761-2600Page 7It is the patients' responsibility to verify each provider's participation in Aspirus Arise Health Plan prior to seeking care. Health care professionalsare participating providers only at the locations specified. Out of Network Specialists require a pre-service authorization from your Primary CarePhysician. The authorization must be approved by Aspirus Arise Health Plan prior to services being rendered. Please contact Member Services: 1800-332-3297, or www.AspirusArise.comFacilitiesAPPLETON WIGERMANTOWN WI

FacilitiesPrior authorization is required for all inpatient hospital or birthing center stays. Hospital accreditations arevalidated every 3 years by Aspirus Arise Health Plan.NORTH SHORE SURGICALCENTERAccreditation:Location: 7007 N RANGE LINE RDMILWAUKEE, WI, 53209FacilitiesPhone: 414-352-3341WISCONSIN SURGERY CENTERLLCAccreditation:Location: 3305 S 20TH STMILWAUKEE, WI, 53215Phone: 414-384-2100MOUNT PLEASANT WIAURORA AMBULATORYSURGERYAccreditation:Location: 8348 WASHINGTON AVEMOUNT PLEASANT, WI, 53406Phone: 262-321-3000AURORA HEALTH CENTERAccreditation:Location: 8400 WASHINGTON AVEMOUNT PLEASANT, WI, 53406Phone: 262-321-3000NEENAH WIAYLWARD SURGERY CTRAccreditation:Location: 130 2ND STNEENAH, WI, 54956Phone: 920-729-3160OSHKOSH WITHEDACARE REGIONAL MEDICALCENTER SURGERY CENTERAccreditation:Location: 2400 WITZEL AVEOSHKOSH, WI, 54904Phone: 920-651-6900PLOVER WIBJOSC LLCAccreditation:Location: 1767 PARK AVE STE 300PLOVER, WI, 54467Phone: 715-344-1260SHAWANO WITHEDACARE ASC SHAWANOAccreditation:Location: 100 CTY RD BSHAWANO, WI, 54166Phone: 715-524-2161STEVENS POINT WIAMBULATORY SURGICALCENTERAccreditation:Location: 500 VINCENT ST STE ASTEVENS POINT, WI, 54481Phone: 866-477-2288WAUKESHA WIPROHEALTH CARE MORELANDSURGERY CENTERAccreditation:Location: 1111 DELAFIELD ST STE 100WAUKESHA, WI, 53188Phone: 262-928-4300WAUSAU WIWEST ALLIS WIWISCONSIN DIGESTIVE HEALTHCTRAccreditation:Location: 2424 S 90TH ST STE 418WEST ALLIS, WI, 53227Phone: 414-908-6500WISCONSIN RAPIDS WISURGERY CENTER OFWISCONSIN RAPIDS LLCAccreditation:Location: 140 24TH ST SWISCONSIN RAPIDS, WI, 54494Phone: 715-424-3940WOODRUFF WIEYE CLINIC OF WISCONSIN SCAccreditation:Location: 611 VETERANS PKWYWOODRUFF, WI, 54568Phone: 715-261-8500NORTHWOODS SURGERYCENTER LLCAccreditation:BJOSC LLCLocation: 611 VETERANS PKWYLocation: 5200 HUMMINGBIRD RD STEPhone: 715-358-8600WOODRUFF, WI, 54568Accreditation:300WAUSAU, WI, 54401HOSPICEPhone: 715-359-7592EC LASER AND SURGERYINSTITUTEAccreditation:WAUSAU WILocation: 800 N 1ST STASPIRUS COMFORT CARE &HOSPICEPhone: 715-298-5500Location: 333 PINE RIDGE BLVDPINE RIDGE SURGERY CENTERLLCPhone: 715-847-2121WAUSAU, WI, 54403Accreditation:WAUSAU, WI, 54401Accreditation:Location: 2500 PINE RIDGE BLVDWAUSAU, WI, 54401Phone: 715-843-1019WAUSAU SURGERY CENTERAccreditation:Location: 2809 WESTHILL DRWAUSAU, WI, 54401Phone: 715-842-4490Page 8It is the patients' responsibility to verify each provider's participation in Aspirus Arise Health Plan prior to seeking care. Health care professionalsare participating providers only at the locations specified. Out of Network Specialists require a pre-service authorization from your Primary CarePhysician. The authorization must be approved by Aspirus Arise Health Plan prior to services being rendered. Please contact Member Services: 1800-332-3297, or www.AspirusArise.com

FacilitiesPrior authorization is required for all inpatient hospital or birthing center stays. Hospital accreditations arevalidated every 3 years by Aspirus Arise Health Plan.HOSPITALANTIGO WIAccreditation:Location: 110 E 5TH AVEAURORA MEDICAL CENTER INBURLINGTONAccreditation:Location: 252 MCHENRY STBURLINGTON, WI, 53105Phone: 800-451-0525ANTIGO, WI, 54409Phone: 715-623-2351Location: 112 E 5TH AVEANTIGO, WI, 54409Phone: 715-623-9449APPLETON WIREFRESH EVOLVE LLCCLINTONVILLE WITHEDACARE MEDICAL CENTERNEW LONDONAccreditation:Location: 270 S MAIN STCLINTONVILLE, WI, 54929Phone: 920-830-5900Accreditation:Location: 3416 N ASSOCIATION DRAPPLETON, WI, 54914Phone: 920-364-9078THEDACARE REGIONAL MEDICALCENTER - APPLETONAccreditation:Location: 1818 N MEADE STCRANDON WIELKHORN WIAURORA LAKELAND MED CTRAccreditation:Location: W3985 COUNTY ROAD NNELKHORN, WI, 53121Phone: 262-741-2000FRIENDSHIP WIGUNDERSEN MOUNDVIEWHOSPITAL AND CLINICSAccreditation:Location: 402 W LAKE STFRIENDSHIP, WI, 53934Phone: 608-339-3331GRAFTON WIASCENSION ST MARYS HOSPITALAURORA MEDICAL CENTERGRAFTONLocation: 400 W GLEN STLocation: 975 PORT WASHINGTON RDPhone: 715-478-6300Phone: 262-532-6700Accreditation:CRANDON, WI, 54520Accreditation:GRAFTON, WI, 53024APPLETON, WI, 54911Phone: 920-731-4101THEDACARE REGIONAL MEDICALCENTER APPLETONAccreditation:Location: 2500 E CAPITOL DRAPPLETON, WI, 54911Phone: 920-830-5900BERLIN WITHEDACARE MEDICAL CENTERBERLIN INCAccreditation:Location: 225 MEMORIAL DRBERLIN, WI, 54923Phone:CUDAHY WIAURORA ST LUKES SOUTHSHOREAccreditation:Location: 5900 S LAKE DRCUDAHY, WI, 53110Phone: 414-489-9000EAGLE RIVER WIASCENSION EAGLE RIVERHOSPITALAccreditation:GUNDERSEN BOSCOBEL AREAHOSPITAL AND CLINICSAURORA BAYCARE MEDICALCENTERAccreditation:Location: 2845 GREENBRIER RDGREEN BAY, WI, 54311Phone: 920-288-8000BELLIN MEMORIAL HOSPITALAccreditation:Location: 744 S WEBSTER AVEGREEN BAY, WI, 54301Phone: 920-433-3500Location: 201 HOSPITAL RDEAGLE RIVER, WI, 54521Phone: 715-479-7411BOSCOBEL WIGREEN BAY WIASCENSION ST MARYS HOSPITALAccreditation:Location: 930 E WALL STEAGLE RIVER, WI, 54521Phone: 715-477-3000Accreditation:Location: 205 PARKER STBOSCOBEL, WI, 53805HARTFORD WIAURORA MEDICAL CTRHARTFORDAccreditation:Location: 1032 E SUMNER STHARTFORD, WI, 53027Phone: 262-670-7233Phone: 608-375-4112Page 9It is the patients' responsibility to verify each provider's participation in Aspirus Arise Health Plan prior to seeking care. Health care professionalsare participating providers only at the locations specified. Out of Network Specialists require a pre-service authorization from your Primary CarePhysician. The authorization must be approved by Aspirus Arise Health Plan prior to services being rendered. Please contact Member Services: 1800-332-3297, or www.AspirusArise.comFacilitiesASPIRUS LANGLADE HOSPITALBURLINGTON WI

FacilitiesPrior authorization is required for all inpatient hospital or birthing center stays. Hospital accreditations arevalidated every 3 years by Aspirus Arise Health Plan.HILLSBORO WIFacilitiesGUNDERSEN ST JOSEPHSHOSPITAL AND CLINICSAccreditation:Location: 400 WATER AVEHILLSBORO, WI, 54634Phone: 608-489-8103IOLA WIASCENSION ST MICHAELSHOSPITALAccreditation:Location: 205 S MAIN STIOLA, WI, 54945Phone: 715-445-4801MADISON WIAMERICAN FMLY CHILDRENSHOSPAccreditation:Location: 1675 HIGHLAND AVEMADISON, WI, 53792Phone: 608-263-6400UNITYPOINT HEALTH - MERITERAccreditation:Location: 202 S PARK STMADISON, WI, 53715Phone: 608-417-6000UW HEALTH UNIVERSITYHOSPITALAccreditation:Location: 451 JUNCTION RDMADISON, WI, 53717IRON RIVER MIASPIRUS IRON RIVER HOSPITALAccreditation:Location: 1400 W ICE LAKE RDIRON RIVER, MI, 49935Phone: 906-265-6121Phone: 608-263-6400Location: 4602 EASTPARK BLVDMADISON, WI, 53718Phone: 608-440-6400Location: 5249 E TERRACE DRMADISON, WI, 53718Phone: 608-662-0817Location: 600 HIGHLAND AVEMADISON, WI, 53792IRONWOOD MIASPIRUS IRONWOOD HOSPITALAccreditation:Location: N10561 GRANDVIEW LNIRONWOOD, MI, 49938Phone: 906-932-2525KENOSHA WIAURORA MED CTR KENOSHAAccreditation:Location: 10400 75TH STKENOSHA, WI, 53142Phone: 262-767-6100LAURIUM MIPhone: 608-263-6400MEDFORD WIASPIRUS MEDFORD HOSPITALAccreditation:Location: 139 S GIBSON STMEDFORD, WI, 54451Phone: 715-748-8100MEMORIAL HEALTH CENTERAccreditation:Location: 135 S GIBSON STMEDFORD, WI, 54451Phone: 715-748-8100MERRILL WIGOOD SAMRTN HL CTR INCAccreditation:Location: 601 S CENTER AVEMERRILL, WI, 54452Phone: 715-824-4400MILWAUKEE WIAURORA HEALTH CARE METROAccreditation:Location: 945 N 12TH STMILWAUKEE, WI, 53233Phone: 800-326-2250MANITOWOC WIHOLY FAMILY MEMORIALMEDICALAccreditation:Location: 2300 WESTERN AVEMANITOWOC, WI, 54220Phone: 920-320-2011MARINETTE WIBAY AREA MEDICAL CENTERAccreditation:Location: 3003 UNIVERSITY DRMARINETTE, WI, 54143Phone: 715-735-6621AURORA ST LUKES MEDICAL CTRAccreditation:Location: 2900 W OKLAHOMA AVEMILWAUKEE, WI, 53215Phone: 414-649-6000NEENAH WITHEDA CLARK MEDICAL CENTERAccreditation:Location: 130 2ND STNEENAH, WI, 54956Phone: 920-729-3100THEDACARE MEDICAL CENTERSHAWANO INCAccreditation:ASPIRUS KEWEENAW HOSPITALLocation: 130 2ND STLocation: 205 OSCEOLA STPhone: 920-830-5900NEENAH, WI, 54956Accreditation:LAURIUM, MI, 49913Phone: 906-337-6500Page 10It is the patients' responsibility to verify each provider's participation in Aspirus Arise Health Plan prior to seeking care. Health care professionalsare participating providers only at the locations specified. Out of Network Specialists require a pre-service authorization from your Primary CarePhysician. The authorization must be approved by Aspirus Arise Health Plan prior to services being rendered. Please contact Member Services: 1800-332-3297, or www.AspirusArise.com

FacilitiesPrior authorization is required for all inpatient hospital or birthing center stays. Hospital accreditations arevalidated every 3 years by Aspirus Arise Health Plan.THEDACARE MEDICAL CENTERWILD ROSE INCAccreditation:Location: 130 2ND STNEENAH, WI, 54956Phone: 920-830-5950THEDACARE MEDICAL CENTER NEW LONDONAccreditation:Location: 1405 MILL STNEW LONDON, WI, 54961Phone: 920-531-2000OCONOMOWOC WIPROHEALTH OCONOMOWOCMEMORIAL HOSPITAL INCAccreditation:Location: 791 SUMMIT AVEOCONOMOWOC, WI, 53066Phone: 262-569-9400OCONTO WIOCONTO HOSPITAL AND MEDCENTERAccreditation:Location: 600 N WESTHAVEN DROSHKOSH, WI, 54904Phone: 920-831-5050PLOVER WIASCENSION ST MICHAELSAccreditation:Location: 2401 PLOVER RDPLOVER, WI, 54467Phone: 715-295-3800PORTAGE WIASPIRUS DIVINE SAVIORHOSPITALAccreditation:Location: 2817 NEW PINERY RDPORTAGE, WI, 53901Phone: 608-742-6730ASPIRUS DIVINE SAVIORHOSPTIALAccreditation:Location: 2817 NEW PINERY RDPORTAGE, WI, 53901Phone: 608-742-4131OCONTO, WI, 54153Phone: 920-835-1100ASPIRUS ONTONAGON HOSPITALINCAccreditation:Location: 601 S 7TH STONTONAGON, MI, 49953Phone: 906-884-8000AURORA MEDICAL CENTEROSHKOSHSCHOFIELD, WI, 54476Phone: 715-361-2984SHAWANO WITHEDACARE MEDICAL CENTERSHAWANO INCAccreditation:Location: 100 COUNTY ROAD BSHAWANO, WI, 54166Phone: 920-830-5900SHEBOYGAN WIAURORA SHEBOYGAN MED CTRAccreditation:Location: 2629 N 7TH STSHEBOYGAN, WI, 53083Phone: 920-451-5550STANLEY WIAccreditation:Location: 1120 PINE STASCENSION ST MARYS HOSPITALPhone: 715-644-5571Location: 2251 N SHORE DR STE 100RHINELANDER, WI, 54501Phone: 715-361-2000RIPON WITHEDACARE MEDICAL CENTER BERLIN INCAccreditation:OSHKOSH WIAccreditation:Location: 1699 SCHOFIELD AVERHINELANDER WIAccreditation:ONTONAGON MIASCENSION ST MICHAELSHOSPITAL INC.OUR LADY OF VICTORY HOSPITALAccreditation:Location: 820 ARBUTUS AVESCHOFIELD WILocation: 1080 W FOND DU LAC STRIPON, WI, 54971Phone: 920-830-5900STANLEY, WI, 54768STEVENS POINT WIASCENSION ST MICHAELSHOSPITALAccreditation:Location: 3398 E MARIA DRSTEVENS POINT, WI, 54481Phone: 715-340-9699ASCENSION ST MICHAELSHOSPITAL INCAccreditation:Location: 900 ILLINOIS AVESTEVENS POINT, WI, 54481Accreditation:Location: 855 N WESTHAVEN DROSHKOSH, WI, 54904Phone: 715-340-9699Phone: 920-456-7100Page 11It is the patients' responsibility to verify each provider's participation in Aspirus Arise Health Plan prior to seeking care. Health care professionalsare participating providers only at the locations specified. Out of Network Specialists require a pre-service authorization from your Primary CarePhysician. The authorization must be approved by Aspirus Arise Health Plan prior to services being rendered. Please contact Member Services: 1800-332-3297, or www.AspirusArise.comFacilitiesNEW LONDON WITHEDACARE REGIONAL MEDICALCENTER NEENAH INC

FacilitiesPrior authorization is required for all inpatient hospital or birthing center stays. Hospital accreditations arevalidated every 3 years by Aspirus Arise Health Plan.ASCENSION ST MICHAELSILLINOIS AVEAccreditation:Location: 824 ILLINOIS AVESTEVENS POINT, WI, 54481FacilitiesPhone: 715-342-7500ASPIRUS WAUSAU HOSPITALAccreditation:Location: 5409 VERN HOLMES DRSTEVENS POINT, WI, 54482Phone: 800-627-3570ASPIRUS WAUSAU HOSPITAL INCAccreditation:Location: 5409 VERN HOLMES DRSTEVENS POINT, WI, 54482Phone: 715-344-1600SUMMIT WIAURORA MEDICAL CENTERAccreditation:Location: 36500 AURORA DRSUMMIT, WI, 53066Phone: 262-434-1000TOMAHAWK WIASCENSION SACRED HEART ATTOMAHAWKAccreditation:Location: 401 W MOHAWK DRTOMAHAWK, WI, 54487Phone: 920-628-9340TWO RIVERS WIAURORA MED CTR MANITOWOCCNTYAccreditation:Location: 5000 MEMORIAL DRTWO RIVERS, WI, 54241Phone: 920-7

24 medical specialty Member Boards, is the pre-eminent entity overseeing the certification of physician specialists in the United States. The primary function of ABMS is to assist its Member Boards in developing and implementing educational and professional standards to evaluate and certify physician specialists. By participating in these